Healthcare software company owner convicted in $1B Medicare fraud scheme
(By: Naomi Diaz for Becker’s Hospital Review) A federal jury in the Southern District of Florida convicted the founder and
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Health Care Finance
Proposed modernization of the Medicare Savings Programs
To simplify access to the Medicare Savings Programs (MSPS), the Aging & Disability Health Policy Lab has drafted four model
Read MoreCMS taps 30 healthcare organizations for prior authorization initiative
(By: Naomi Diaz for Becker’s Hospital Review) The Centers for Medicare & Medicaid Services is launching a new initiative aimed
Read MoreWhat to Know About the BALANCE Model for GLP-1s in Medicare and Medicaid and the Medicare GLP-1 Bridge
(Authors: Meredith Freed, Juliette Cubanski, and Elizabeth Williams for The Kaiser Family Foundation Published: May 11, 2026) GLP-1s, a class
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4 recommendations to bring oversight to AI-driven prior auth: MACPAC
(By: Elizabeth Casolo for Becker’s Hospital Review) The Medicaid and CHIP Payment and Access Commission approved recommendations to boost transparency with
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Boston Scientific recalls pacemakers after 4 deaths, 2,500 injuries
(By: Mariah Taylor for Becker’s Hospital Review) Boston Scientific issued a recall involving a correction on all 27 Accolade pacemakers
Read MoreIn California Governor Race, Single-Payer Is a Litmus Test. There’s Still No Way To Pay for It.
(By Christine Mai-Duc for KFF Health News) When Gavin Newsom ran for California governor in 2018, his support for a
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What’s the latest on prior authorization reform?
(By: Jakob Emerson for Becker’s Hospital Review) For years, prior authorization has remained among the most contentious pressure points between
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CMS issues another round of Medicare Advantage fines to 13 health plans
(By: Jakob Emerson for Becker’s Hospital Review) CMS has fined 13 health plans a combined $1.5 million for Medicare Advantage
Read MoreThat Discount at the Pharmacy Counter May Pack Hidden Costs
(By Rachel Spears for KFF Health News) Next time you go to the pharmacy, you might be offered a coupon
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